NPI 1669127379
K&mt
Practice location
- Address
- 411 E Indian School Rd APT 2119, Phoenix, AZ 85012-1886
- Phone
- (480) 241-2197
- Mailing address
- 1701 E Meadowbrook Ave APT 346, Phoenix, AZ 85016-5113
Authorised official
- Name
- Amanda Wilson
- Title
- Owner
- Phone
- (480) 241-2197
Registered specialties (2)
Clinical Laboratory Director (Non-physician)
Primary
Home Health Aide
Registry record
- NPI
- 1669127379
- Entity type
- Organization
- NPI issued
- 21 Feb 2022
- Record last updated
- 16 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.